Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of India
Objective A large proportion of neonatal deaths in India are attributable to low birth weight (LBW). We report population-based distribution and determinants of birth weight in Bihar state, and on the perceptions about birth weight among carers.Design A cross-sectional household survey in a state re...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e061934.full |
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| author | Lalit Dandona Rakhi Dandona G Anil Kumar Debarshi Bhattacharya Sibin George Priya Nanda Md Akbar |
| author_facet | Lalit Dandona Rakhi Dandona G Anil Kumar Debarshi Bhattacharya Sibin George Priya Nanda Md Akbar |
| author_sort | Lalit Dandona |
| collection | DOAJ |
| description | Objective A large proportion of neonatal deaths in India are attributable to low birth weight (LBW). We report population-based distribution and determinants of birth weight in Bihar state, and on the perceptions about birth weight among carers.Design A cross-sectional household survey in a state representative sample of 6007 live births born in 2018–2019. Mothers provided detailed interviews on sociodemographic characteristics and birth weight, and their perceptions on LBW (birth weight <2500 g). We report on birth weight availability, LBW prevalence, neonatal mortality rate (NMR) by birth weight and perceptions of mothers on LBW implications.Setting Bihar state, India.Participants Women with live birth between October 2018 and September 2019.Results A total of 5021 (83.5%) live births participated, and 3939 (78.4%) were weighed at birth. LBW prevalence among those with available birth weight was 18.4% (95% CI 17.1 to 19.7). Majority (87.5%) of the live births born at home were not weighed at birth. LBW prevalence decreased and birth weight ≥2500 g increased significantly with increasing wealth index quartile. NMR was significantly higher in live births weighing <1500 g (11.3%; 95% CI 5.1 to 23.1) and 1500–1999 g (8.0%; 95% CI 4.6 to 13.6) than those weighing ≥2500 g (1.3%, 95% CI 0.9 to 1.7). Assuming proportional correspondence of LBW and NMR in live births with and without birth weight, the estimated LBW among those without birth weight was 35.5% (95% CI 33.0 to 38.0) and among all live births irrespective of birth weight availability was 23.0% (95% CI 21.9 to 24.2). 70% of mothers considered LBW to be a sign of sickness, 59.5% perceived it as a risk of developing other illnesses and 8.6% as having an increased probability of death.Conclusions Missing birth weight is substantially compromising the planning of interventions to address LBW at the population-level. Variations of LBW by place of delivery and sociodemographic indicators, and the perceptions of carers about LBW can facilitate appropriate actions to address LBW and the associated neonatal mortality. |
| format | Article |
| id | doaj-art-0999b8f0c1f84afc814f053cfcec8b1a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-0999b8f0c1f84afc814f053cfcec8b1a2025-01-28T00:35:11ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-061934Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of IndiaLalit Dandona0Rakhi Dandona1G Anil Kumar2Debarshi Bhattacharya3Sibin George4Priya Nanda5Md Akbar62 Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USAPublic Health Foundation of India, New Delhi, India1 Public Health Foundation of India, Gurugram, IndiaBill & Melinda Gates Foundation India, New Delhi, India1 Public Health Foundation of India, Gurugram, IndiaBill & Melinda Gates Foundation India, New Delhi, IndiaPublic Health Foundation of India, New Delhi, IndiaObjective A large proportion of neonatal deaths in India are attributable to low birth weight (LBW). We report population-based distribution and determinants of birth weight in Bihar state, and on the perceptions about birth weight among carers.Design A cross-sectional household survey in a state representative sample of 6007 live births born in 2018–2019. Mothers provided detailed interviews on sociodemographic characteristics and birth weight, and their perceptions on LBW (birth weight <2500 g). We report on birth weight availability, LBW prevalence, neonatal mortality rate (NMR) by birth weight and perceptions of mothers on LBW implications.Setting Bihar state, India.Participants Women with live birth between October 2018 and September 2019.Results A total of 5021 (83.5%) live births participated, and 3939 (78.4%) were weighed at birth. LBW prevalence among those with available birth weight was 18.4% (95% CI 17.1 to 19.7). Majority (87.5%) of the live births born at home were not weighed at birth. LBW prevalence decreased and birth weight ≥2500 g increased significantly with increasing wealth index quartile. NMR was significantly higher in live births weighing <1500 g (11.3%; 95% CI 5.1 to 23.1) and 1500–1999 g (8.0%; 95% CI 4.6 to 13.6) than those weighing ≥2500 g (1.3%, 95% CI 0.9 to 1.7). Assuming proportional correspondence of LBW and NMR in live births with and without birth weight, the estimated LBW among those without birth weight was 35.5% (95% CI 33.0 to 38.0) and among all live births irrespective of birth weight availability was 23.0% (95% CI 21.9 to 24.2). 70% of mothers considered LBW to be a sign of sickness, 59.5% perceived it as a risk of developing other illnesses and 8.6% as having an increased probability of death.Conclusions Missing birth weight is substantially compromising the planning of interventions to address LBW at the population-level. Variations of LBW by place of delivery and sociodemographic indicators, and the perceptions of carers about LBW can facilitate appropriate actions to address LBW and the associated neonatal mortality.https://bmjopen.bmj.com/content/12/6/e061934.full |
| spellingShingle | Lalit Dandona Rakhi Dandona G Anil Kumar Debarshi Bhattacharya Sibin George Priya Nanda Md Akbar Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of India BMJ Open |
| title | Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of India |
| title_full | Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of India |
| title_fullStr | Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of India |
| title_full_unstemmed | Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of India |
| title_short | Implications of the availability and distribution of birth weight on addressing neonatal mortality: population-based assessment from Bihar state of India |
| title_sort | implications of the availability and distribution of birth weight on addressing neonatal mortality population based assessment from bihar state of india |
| url | https://bmjopen.bmj.com/content/12/6/e061934.full |
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